View source for STROKE-PRESENTATION, BRAINSTEM SYNDROMES

===== [[Summary Article|'''SUMMARY''']] =====
1. WEBER SYNDROME
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<br/>- Occlusion of interpeduncular branches of basilar/PCA
<br/>- CN III: diplopia 
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<br/>- Corticospinal tract: contralateral hemiparesis
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<br/>2. MILLARD-GUBLER SYNDROME
<br/>- Occlusion of circumferential branches of basilar a.
<br/>- CN VI &amp; CN VII: diplopia on looking to the opposite side &amp; ipsilateral (LMN) facial palsy
<br/>- Corticospinal tract: contralateral hemiparesis
<br/>- Medial lemniscus: contralateral hemi-sensory loss
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<br/>3. MEDIAL MEDULLARY SYNDROME
<br/>- Infraction of the medial medulla due to occlusion of the penetrating branches of the vertebral a./anterior spinal a.
<br/>- Ipsilateral CN XII palsy
<br/>- Corticospinal tract: contralateral hemiparesis
<br/>- Medial lemniscus: contralateral hemi-sensory loss (proprioception &amp; fine touch)
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<br/>[[Image:paste-f57b14444890bd69ccee18158bd295ef6f2a40fe.jpg]]
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<br/><b>Image: </b>MD, S. (2015). <i>Physical Medicine and Rehabilitation Board Review, Third Edition</i>. 3rd ed. New York: Demos Medical Publishing, p.14.


==Reference(s)==
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.]
<br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.]
<br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
<br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

[[Category:Stroke]]
[[Category:Neurology]]
[[Category:Medicine]]